VHS to DVD Mail Order Form.

Please print this form and include it with your VHS tapes.

Name:__________________________________

Address:________________________________
_______________________________________

City:___________________________________

State:_________ ZipCode:__________________

Email Address:___________________________

Phone:_________________________________

Number of Tapes being sent:___________

Event One can accept checks made out to 'Event One' or Visa/Master Card/Discover
Price: $27 per Tape till 9/1/2008. $30/tape after 9/1/2008

Card Payment
Cardholder Name:________________________
CardNumber:____________________________

Billing Address:___________________________
_______________________________________
_______________________________________

Card Number: ____________________________
Expiration Date:___________________________
CVV Value:______________________________

Send order to:

Event One
11080 SW Allen Blvd.
Suite 500-A
Beaverton, OR. 97005